Robert Cherry
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means all persons empioyed or retained, whether paid or not, by a principal who seeks to encourage the
passage, defeat or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision,
recommendation of the City Manager or any city board or committee; or any action, dedsion or recommendation of any
city personnel defined In any manner In this section, during the time period of the entire decision-making process on such
action, dedslon or recommendation that foreseeably will be heard or reviewed by the city commission, or a city board or
committee. The term specifically includes the principal as well as any employee engaged In lobbying activities, The term
ULobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
Bercow
(Last)
Jeffrev
(First)
(M.I.) DATE QUALIFIED AS LOBBYIST
200 S, Biscavne Boulevard Suite 850
BUSINESS ADDRESS: (Number and Street)
Miami
(City)
Florida
(State)
33131
(Zip Code)
305-374-5300
TELEPHONE NUMBER:
305-377-6222
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
Robert CherrY
NAME OF PRINCIPAUCLlENT:
c/o LNR Prooertv Corooration 1601 Washinaton Avenue Suite 800 Miami Beach Florida 33139
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
305-695-5555
TELEPHONE NUMBER:
305-695-5449
FAX NUMBER: (Optional)
EMAiL: (Optional)
Fill out this section if principal is a Corporation, Partnership, or Trust [Section 2-482 (c)]
? NAME OF CHIEF OFFICER, PARTNER OF BENEFICIARY:
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP iNTEREST IN
SUCH CORPORATION. PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
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III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
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5645 North Bav Road Miami Beach
Issue to be iobbied (Describe In detail):
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A) Full Name of IndividuallTitle B) Relationship -n
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City Staff None
Mavor None
Citv Commissioners None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $420.00/hourlv basis
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST' COMPENSATION): (Required), $420.00/hourlv basis
i01 Yes ~ No: Are vou reDresentinG a not-for-Drofit coraoration or entity without saecial comDensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinance No. 2003-3393 Amendlna Miami Beach City Code Chaoter 2. Article VII Division 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Procurement Issues":
111 Yes ~ No: Are YOU 10bbvinG on a Dresent or DendinG bid for Goods. eauiDment or services. or on a
Dresent or aendinG award for Goods. eGUiDment or service?
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Oty Code Chaoter 2. Article VII DIVision 5
thereof Entitled "Camoalan Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions BY Lobbvlsts On Real Estate Develooment Issues":
~Yes ~ No: Are vou lobbvinG on a aendinG aDDlication for a DeveloDment AGreement with the City or
aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use MaD?
V. SIGNATURE UNDER OATH:
CLERK A SIGNED
COMPENSATION RECEIVED,
NT SHALL BE FILED
RE G PERIOD.
I do solemnly swear that all of th
am familiar with the provisions 0
reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
ON:
Produced ID
Produced ID
Form of Identification
Form of Identification
~ Personally known (Lobbyist)
Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me , I
Th~ ~~'V ,2&L"f
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Signature of Public Notary - State of Florida
Notarization of Lobbyist's signature
FOR CLER USE Y
Annual Registration fee: [] Yes"H:No Amount Paid ~~,()() M<;R # 1.~
Lobbyist Registration Form received and verified by: ~J I A ,~ I .I~
Revised 02/10/04 F: CLER LL\MARIA- OBBYIST\LOB
1 First Revision - 05-17-02
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